Individual
JORDAN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 366-2020
Mailing address
1650 1ST AVE NE, CEDAR RAPIDS, IA 52402-5431
(319) 366-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-44957
IA
Other
Enumeration date
04/02/2014
Last updated
05/21/2021
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